JENSINE J MATTIS (NPI# 1841820529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841820529 |
Entity Type | Individual |
Full Name | JENSINE J MATTIS |
Practice Address |
9114 Merrick Blvd Jamaica NY 11432-5363 |
Mailing Address |
191 Joralemon St Brooklyn NY 11201-4306 |
Practice Telephone | 7182628190 |
Mailing Telephone | 7187226000 |
Enumeration Date | 2020-01-22 |
Last Update Date | 2020-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
9114 MERRICK BLVD |
City | JAMAICA |
State | NY |
Zip Code | 11432-5363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346757903 | Derek Cole | Counselor | 9114 Merrick Blvd, Jamaica, NY 11432-5247 | 2018-01-04 |
1114553781 | Siena Sanches | Case Manager/Care Coordinator | 9114 Merrick Blvd, Jamaica, NY 11432-5363 | 2020-03-16 |
1265074504 | Laurin Ellis | Case Manager/Care Coordinator | 9114 Merrick Blvd, Jamaica, NY 11432-5363 | 2019-10-08 |
1780238493 | Oluwatosin Gbadamosi | Case Management | 9114 Merrick Blvd, Jamaica, NY 11432-5363 | 2019-07-31 |
1538648696 | Stephanie Ortiz | Case Manager/Care Coordinator | 9114 Merrick Blvd, Jamaica, NY 11432-5247 | 2018-08-09 |
1457843880 | Kimberly Harris | Social Worker | 9114 Merrick Blvd, Jamaica, NY 11432-5247 | 2018-06-01 |
1790286474 | Yvette Williamson | Counselor | 9114 Merrick Blvd, Jamaica, NY 11432-5247 | 2018-02-27 |
1235638917 | Tolulope Olufunmilola Fasola | Registered Nurse | 9114 Merrick Blvd, Jamaica, NY 11432-5247 | 2018-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
Find all providers in zip 11432 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457965048 | Felicia Aldiana Celeste Williams | Case Manager/Care Coordinator | 11548 158th St, Jamaica, NY 11434-1116 | 2020-09-01 |
1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
1508426388 | Ashley Joelle Sanon | Case Manager/Care Coordinator | 17323 Vaswani Ave, Jamaica, NY 11434-3305 | 2019-06-14 |
1275099277 | Vladimir Diaz | Case Manager/Care Coordinator | 9010 150th St, Jamaica, NY 11435-4024 | 2019-02-14 |
1902382427 | Maria Lucila Rodriguez | Case Manager/Care Coordinator | 15604 111th Ave, Jamaica, NY 11433-3612 | 2018-07-18 |
1699267112 | Janece B Mcfadden | Case Manager/Care Coordinator | 8328 160th St, Jamaica, NY 11432-1632 | 2018-05-31 |
1225557796 | Joel Luis Figueroa | Case Manager/Care Coordinator | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5247 | 2017-09-15 |
1841714748 | Samanta Anglade | Case Manager/Care Coordinator | 11642 142nd St, Jamaica, NY 11436-1233 | 2017-08-01 |
1063941425 | Mafruha Zaman | Case Manager/Care Coordinator | 119-23 179 Street, Jamaica, NY 11434 | 2017-06-08 |
1912433806 | Topu Datta | Case Manager/Care Coordinator | 14845 89th Ave Apt 3e, Jamaica, NY 11435-3563 | 2017-05-11 |
Find all providers in JAMAICA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.